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SonoKids PROC intubation

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12 papers 0 to 25 followers
https://www.readbyqxmd.com/read/25781388/inflating-the-endotracheal-tube-cuff-with-saline-to-confirm-correct-depth-using-bedside-ultrasonography
#1
Mark O Tessaro, Alexander C Arroyo, Lawrence E Haines, Eitan Dickman
Although bedside ultrasonography can accurately distinguish esophageal from tracheal intubation, it is not used to establish the correct depth of endotracheal tube insertion. As indirect sonographic markers of endotracheal tube insertion depth have proven unreliable, a method for visual verification of correct tube depth would be ideal. We describe the use of saline to inflate the endotracheal cuff to confirm correct endotracheal tube depth (at the level of the suprasternal notch) by bedside ultrasonography during resuscitation...
January 2015: CJEM
https://www.readbyqxmd.com/read/25711517/ultrasonography-for-confirmation-of-endotracheal-tube-placement-a-systematic-review-and-meta-analysis
#2
REVIEW
Eric H Chou, Eitan Dickman, Po-Yang Tsou, Mark Tessaro, Yang-Ming Tsai, Matthew Huei-Ming Ma, Chien-Chang Lee, John Marshall
OBJECTIVE: This study aimed to undertake a systematic review and meta-analysis to summarize evidence on the diagnostic value of ultrasonography for the assessment of endotracheal tube placement in adult patients. METHODS: The major databases, PubMed, EMBASE, and the Cochrane Library, were searched for studies published from inception to June 2014. We selected studies that used ultrasonography to confirm endotracheal tube placement. The search was limited to human studies, and had no publication date or country restrictions...
May 2015: Resuscitation
https://www.readbyqxmd.com/read/25537734/transtracheal-ultrasound-for-verification-of-endotracheal-tube-placement-a-systematic-review-and-meta-analysis
#3
REVIEW
Saurabh Kumar Das, Nang Sujali Choupoo, Rudrashish Haldar, Amitabh Lahkar
PURPOSE: Early confirmation of endotracheal tube placement is of paramount importance to prevent hypoxia and its catastrophic consequences. Despite certain limitations, capnography is considered the gold standard to evaluate the proper placement of an endotracheal tube. Ultrasound is a novel tool with some definitive advantages over capnography. It enables a real-time view and can be performed quickly; furthermore, it is independent of pulmonary blood flow and does not require lung ventilation...
April 2015: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/25493129/accuracy-of-a-novel-ultrasound-technique-for-confirmation-of-endotracheal-intubation-by-expert-and-novice-emergency-physicians
#4
RANDOMIZED CONTROLLED TRIAL
Michael Gottlieb, John M Bailitz, Errick Christian, Frances M Russell, Robert R Ehrman, Basem Khishfe, Alexander Kogan, Christopher Ross
INTRODUCTION: Recent research has investigated the use of ultrasound (US) for confirming endotracheal tube (ETT) placement with varying techniques, accuracies, and challenges. Our objective was to evaluate the accuracy of a novel, simplified, four-step (4S) technique. METHODS: We conducted a blinded, randomized trial of the 4S technique utilizing an adult human cadaver model. ETT placement was randomized to tracheal or esophageal location. Three US experts and 45 emergency medicine residents (EMR) performed a total of 150 scans...
November 2014: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25611151/ultrasound-use-in-the-pediatric-airway-the-time-has-come
#5
Nicholas M Dalesio, Deepa Kattail, Stacey L Ishman, Robert S Greenberg
Advancements in ultrasonography and increasing familiarity with its use in the operating room (vascular access and regional neural blockade) suggest its feasibility as an adjunct in pediatric airway evaluation and intervention. We report 3 cases demonstrating the usefulness of ultrasound techniques in this setting. We show key elements of airway anatomy, noninvasive observation of vocal cord motion, and percutaneous periglottic steroid injection via the cricothyroid membrane in 3 different patients. This report reveals the possible usefulness of ultrasound imaging in clinical anesthesia care, specifically airway management, in children...
February 1, 2014: A & A Case Reports
https://www.readbyqxmd.com/read/25611791/the-concordance-of-ultrasound-technique-versus-x-ray-to-confirm-endotracheal-tube-position-in-neonates
#6
R Chowdhry, B Dangman, J M B Pinheiro
OBJECTIVE: Given the distressingly high incidence of ETT malposition in the neonatal population, patients are exposed to ionizing radiation to confirm endotracheal tube (ETT) position. Our objective is to determine if ultrasound technique is concordant with X-ray in determining whether an ETT is deeply positioned or not. STUDY DESIGN: Prospective observational clinical trial. After obtaining informed consent, patients with an ETT who required X-ray for clinical reasons underwent sonographic evaluation of the ETT by an ultrasound technologist or pediatric radiologist, usually within the hour...
July 2015: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/25249798/ultrasound-imaging-for-endotracheal-tube-repositioning-during-percutaneous-tracheostomy-in-a-cadaver-model-a-potential-teaching-modality
#7
Peter M Tonui, Andrew D Nish, Hayden L Smith, Paul V Letendre, Dustin R Portela
BACKGROUND: Percutaneous tracheostomy (PCT) is a widely accepted method for the insertion of a tracheostomy tube in a critically ill patient. Because a patient's preexisting endotracheal tube is manipulated during the procedure, premature extubation with potential catastrophic loss of airway control is a risk. As portable ultrasound imaging becomes increasingly useful in the critical care setting, investigations continue to determine the safety of PCT with the technology. METHODS: Introduction of an endotracheal tube in the proximal airway under bronchoscopic guidance was performed in a cadaver...
2014: Ochsner Journal
https://www.readbyqxmd.com/read/25180278/use-of-neonatal-chest-ultrasound-to-predict-noninvasive-ventilation-failure
#8
Francesco Raimondi, Fiorella Migliaro, Angela Sodano, Teresa Ferrara, Silvia Lama, Gianfranco Vallone, Letizia Capasso
BACKGROUND: Noninvasive ventilation is the treatment of choice for neonatal moderate respiratory distress (RD). Predictors of nasal ventilation failure are helpful in preventing clinical deterioration. Work on neonatal lung ultrasound has shown that the persistence of a hyperechogenic, "white lung" image correlates with severe distress in the preterm infant. We investigate the persistent white lung ultrasound image as a marker of noninvasive ventilation failure. METHODS: Newborns admitted to the NICU with moderate RD and stabilized on nasal continuous positive airway pressure for 120 minutes were enrolled...
October 2014: Pediatrics
https://www.readbyqxmd.com/read/25181712/2-point-ultrasonography-to-confirm-correct-position-of-the-gastric-tube-in-prehospital-setting
#9
Pierre-Marie Brun, Hichem Chenaitia, Christophe Lablanche, Anne-Lise Pradel, Cécile Deniel, Jacques Bessereau, Régis Melaine
UNLABELLED: X-ray remains the "gold standard" test to control the gastric tube (GT) position. The aim of this study is to estimate the diagnostic accuracy of a 2-point ultrasonography to confirm GT placement in the prehospital setting. METHOD: The emergency physician performed an ultrasound examination during GT insertion. The aim was to determine whether or not the GT could be viewed in the esophagus and/or in the stomach. RESULTS: Thirty-two intubated patients were included...
September 2014: Military Medicine
https://www.readbyqxmd.com/read/24632693/point-of-care-ultrasonography-for-position-of-tip-of-endotracheal-tube-in-neonates
#10
COMPARATIVE STUDY
Ankur Sethi, Archana Nimbalkar, Dipen Patel, Amit Kungwani, Somashekhar Nimbalkar
OBJECTIVE: To compare ultrasonography with chest radiograph to detect the level of endotracheal tube tip in intubated neonates. DESIGN: Observational. SETTING: Neonatal care unit of a teaching hospital. PARTICIPANTS: 53 neonates selected by convenience sampling. INTERVENTION: Ultrasonography of chest was done with probe of 5 to 8 MHz using high parasternal view. The distance of the endotracheal tube tip to the arch of aorta on ultrasonography was compared with level of endotracheal tube tip in radiograph...
February 2014: Indian Pediatrics
https://www.readbyqxmd.com/read/24742689/inflating-the-endotracheal-tube-cuff-with-saline-to-confirm-correct-depth-using-bedside-ultrasonography
#11
Mark O Tessaro, Alexander C Arroyo, Lawrence E Haines, Eitan Dickman
ABSTRACTAlthough bedside ultrasonography can accurately distinguish esophageal from tracheal intubation, it is not used to establish the correct depth of endotracheal tube insertion. As indirect sonographic markers of endotracheal tube insertion depth have proven unreliable, a method for visual verification of correct tube depth would be ideal. We describe the use of saline to inflate the endotracheal cuff to confirm correct endotracheal tube depth (at the level of the suprasternal notch) by bedside ultrasonography during resuscitation...
April 1, 2014: CJEM
https://www.readbyqxmd.com/read/18055679/use-of-bedside-ultrasonography-for-endotracheal-tube-placement-in-pediatric-patients-a-feasibility-study
#12
Jeanette Galicinao, Andrew J Bush, Sandip A Godambe
OBJECTIVE: The purpose of our study was to evaluate the usefulness of bedside ultrasonography in verifying endotracheal tube placement in the pediatric population. METHODS: This study consisted of 2 phases. In phase I, subjects were examined while intubated and after extubation to determine the presence of the endotracheal tube by applying each of 2 ultrasound transducers to the cricothyroid membrane. In phase II, pediatric patients were examined in the emergency department during intubation or immediately after intubation to ascertain proper endotracheal tube placement by using bedside ultrasonography...
December 2007: Pediatrics
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